Volume : VII, Issue : IX, September - 2017

A STUDY OF PREPONDERANCE OF THYROID SWELLINGS IN FEMALES AND THEIR POST–OPERATIVE COMPLICATIONS

Dr. V. Sujatha, Dr. D. Uma

Abstract :

 INTRODUCTION:

Multi nodular swellings of the thyroid are one of the common presentations amongst thyroid swellings in our Surgery OPD. We base our diagnosis on FNAC and thyroid profile depending on which management is decided as medical or surgical. Surgical management is usually taken up for cosmetic or in case of malignancies as curative mode. Post operative complications often result from densely adherent swellings or inflammatory disorders co–existing morbidity and mortality are often managed accordingly.

AIM:

To study post–operative complications of thyroid surgeries and their resulting morbidity.

MATERIALS AND METHODS:

The study materials consist of 50 patients with thyroid swellings who underwent Hemi–and subtotal thyroidectomy during Jan 2016 to Dec 2016 at K.A.P.V. MGMGH Tiruchirapalli.

RESULTS AND OBSERVATION:

 50 female patients aged between 30–60 years with complaints of MNG, Solitary nodule or diffuse enlargement of thyroid with pain were included in this study.Incidence of complications was 20%. In our study,majority of the complications were found to occur in female patients. The highest incidence of complications was noted in patients with MNG and the lowest incidence of complications was noted in Diffuse colloid goitre.The most common HPE diagnosis was MNG.The surgical procedures performed, depend upon our FNAC reports and TFT studies. In our study ,vocal cord palsy, hypocalcemia, transient neuropraxia are the main post–operative morbid complications.

CONCLUSION:

Our study was conducted to assess the incidence of complications in thyroidectomy procedures done in 50 female patients admitted to KAPV MGMGH. The 3 major complications seen in our patients were hypocalcemia ,permanent vocal cord damage, transient RLN palsy due to neuropraxia and airway obstruction. All complications were intensively managed and patients were followed up for a period of 3 months. There was no incidence of thyroid storm as our patients were adequately prepared. Prompt and early management may grossly reduce patient morbidity.             

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.V.SUJATHA, Dr.D.UMA, A STUDY OF PREPONDERANCE OF THYROID SWELLINGS IN FEMALES AND THEIR POST–OPERATIVE COMPLICATIONS, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-9 | September-2017

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